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Allowance for Uncollectible Accounts - Allowance for Uncollectible Accounts Activity and Ending Balances (Detail) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Allowance for Doubtful Accounts Receivable [Roll Forward]        
Beginning balance     $ 26,712  
Additions $ 3,275 $ 4,809 11,658 $ 14,873
Deductions     (9,112)  
Ending balance $ 29,258   $ 29,258